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QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY PC NPI 1750682431


NPI Information

NPI: 1750682431
Provider Name: QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 34D2156916

Address:
320 LILLINGTON AVE
SUITE 101
CHARLOTTE, NC
ZIP 28204
Phone: (704) 362-4403
Get Directions

QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC is a gastroenterology internal medicine in Charlotte, NC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. QUEEN CITY GASTROENTEROLOGY & HEPATOLOGY, PC NPI is 1750682431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 LILLINGTON AVE
SUITE 101
CHARLOTTE, NC
ZIP 28204-189
Phone: (704) 362-4403
Fax: (704) 362-4405

The provider's authorized official is Michelle Ogunwale .
The authorized official title is Administrator / Manager and has the following contact phone number (704) 362-4403.

The CLIA number assigned to this NPI record is 34D2156916 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 2/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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